FORM 1023-EZ for PORT CITY SERENITY HALL INC

Field Data
EIN 30-1173469
Case Number EO-2019277-000560
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PORT CITY SERENITY HALL INC
Organization’s Mailing Address PO BOX 3123
City OSWEGO
State NY
ZIP 13126
Accounting period End 12
Primary contact name JOHN J WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN WILSON
PRESIDENT
PO BOX 5201
OSWEGO NY 13126

Officer/Director/Trustee Two

DANIEL DONAHUE
VICE PRESIDENT
12 LAKE ST
OSWEGO NY 13126

Officer/Director/Trustee Three

MARK SMITH
TREASURER
37 SEAGULL DRIVE
OSWEGO NY 13126

Officer/Director/Trustee Four

KELLY SMITH
SECRETARY
30 TALISMAN TERRACE
OSWEGO NY 13126

Officer/Director/Trustee Five

SHAWN HORT
DIRECTOR
229 MUNN ST
OSWEGO NY 13126

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/91
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN WILSON
Signature Title PRESIDENT
Signature Date 10/1/19

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